病史介绍患者男性,52岁,教师。因发烈、腰背痛伴全身不适15天入院。患者入院前半个月因低热、咳嗽、全身不适,口服速效感冒片后好转。10天前又突然不规则高热,腰骶部疼痛及轻度尿频。在当地抗感染治疗无效,体温波动在38°～40℃。多次查血象,白细胞34000～59000,骨髓象见较多的单核细胞,以急性单核细胞白血病待排除,类白血病反应转入我院。既往 A history of the patient male, 52 years old, teacher. Due to fierce, low back pain with general malaise 15 days admitted. Patients admitted to hospital for the first half due to fever, cough, general malaise, effective oral tablets after oral administration improved. 10 days ago suddenly irregular heat, lumbosacral pain and mild urinary frequency. In the local anti-infective treatment is invalid, body temperature fluctuations in 38 ° ~ 40 ℃. Check the blood many times, white blood cells 34000 ~ 59000, bone marrow see more monocytes to acute monocytic leukemia to be excluded, leukemia-like response into our hospital. Past